Concept 2 - Leslies notes Flashcards
What is the definition of Patient-Centered Care?
Providing care that is respectful of, and responsive to, individual patient preferences, needs and values, and ensuring that patient values guide all clinical decisions.
Explain why patient centered care is essential in the health care environment?
You want them to get better so you need to incorporate them and their decisions into the care plan. After explaining everything in detail with them, and they don’t want to do it, don’t make them do it. They won’t comply if you don’t include them in the plan.
What is the role of the Health & Medicine Division of the National Academies?
Formerly called the Institute of Medicine (IOM) ~ Renamed effective July 1, 2016 A private, non-profit organization. Established by the federal government to provide unbiased advice on biomedical science, medicine, and health matters. Members are volunteer experts in relevant subject matter areas They are a group of people that are experts in their respective fields that do research and have group meetings, etc to give their unbiased opinions on science, health, medicine, etc. They give their findings to the government.
What are 5 problems related to health care quality as outlined in “Crossing the Quality Chasm”?
Poor quality care, Inconsistent care, Disparities in care, Lack of evidence-based care, Error-prone systems & patient harm
What 5 factors are contributing to problems with health care quality as outlined in “Crossing the Quality Chasm.”?
Aging population & chronic conditions, Rapidly advancing technology, Poorly organized systems, Lack of care coordination, Lack of communication between providers & patients
What are the scope of health care quality problems as it relates to disparities?
differences in incidence, prevalence, mortality and burden of diseases and other adverse health conditions that exist among specific population groups in the U.S. –National Institutes of Health, “differences that occur by gender, race, or ethnicity, education or income, disability, living in rural localities, or sexual orientation” –Health People 2020, differences in the burden of disease, injury, violence, or opportunities to fe optimal health that are experienced by various groups –CDC
What are factors in the unequal distribution of social, political, economic, and environmental resources?
Poverty, Environmental threats, Inadequate access to health care, Individual and behavioral factors, Educational inequalities
What is the definition of Health Care Disparities?
Differences in the quality of care received by minorities and non-minorities who have equal access to care-that is, when these groups have similar health insurance and the same access to a doctor - and when there are no differences between these groups in their preferences and needs for treatment –IOM
How many Americans die each year because of medical errors?
44,000-98,000
How much do Medication-related errors for hospitalized patients cost each year?
$2 billion
What are the six factors contributing to errors in health care?
System processes, Fragmented care, Worker fatigue, Interruptions, Lack of communication, Lack of individualized care
What are the six aims for healthcare improvement?
SEPTEE
What are three examples of patient-centered care?
A. Letting the patient decide if they want chemotherapy when they have terminal pancreatic cancer. B. Letting the patient/mother decide if she wants an epidural to deliver her baby. C. Asking the patient if they would prefer to be taken back for their history and exam by themselves or if they prefer to have their family with them.
What does SEPTEE stand for?
Safe, Effective, Patient Centered care, Timely, Efficient, Equitable
What are some examples of patient-centered care?
Good communication with the patient, Educating the patient about their problems and what potential solutions exist, Taking time with each individual patient - don’t rush, Find out the patient’s concerns and address them, Involve the patient in some of the decisions about their care plan.
Discuss the movement of the health care industry away from a disease model and toward a patient centered model
Instead of the focus being about what the disease is and how to treat it, the focus is going toward caring about the patient as a whole, including them in the care plan
What are three ways patient-centered care influences patient satisfaction?
Treating patients with respect, Patient’s needs being met, Doctors and nurses taking the time to explain their conditions and what the options for care are
